Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China

Liu, Jinlin; Mao, Ying

doi:10.3390/ijerph16203968

Cited by 39 publications

(53 citation statements)

References 47 publications

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“…The level of patient satisfaction (60.5%) in our study was higher than the results obtained in other areas either in China or elsewhere, such as in Taiwan (35%) 39 Malaysia 22 and 11 western provinces in China (60%) 40 ; however, it was lower than that in Shandong, 41 Jiangxi 42 and other cities in Gansu, China, 33 43 and also in Spain 44 and Australia. 45 This might have been related to differences in sample size, region and the use of a different survey scale.…”

Section: Discussioncontrasting

confidence: 78%

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

et al. 2020

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ObjectivesThe aim of the study was to examine the level of patient satisfaction with nursing care and identify the factors affecting satisfaction from the inpatient’s perspective in a backward region of China.DesignThis was a cross-sectional study.SettingThe study was conducted at a tertiary hospital located in northwest China.ParticipantsPatients admitted to the ward for at least 48 hours were chosen to participate in the survey.Primary outcome measureThe Newcastle Satisfaction with Nursing Care Scale was used. Data were collected from 219 patients.ResultsThe overall inpatient satisfaction with nursing care was 78.15±4.74. Patients were more satisfied with nurses who respected their privacy and treated them as individuals (67.7%). Patients were least satisfied with the type of information nurses gave them (11.7%) and with the sufficient awareness of their needs. Patients who were married, had a history of hospitalisation, surgery and were taken charge of by junior nurses had higher satisfaction.ConclusionsThe overall level of patient satisfaction was moderate. Patient-centred individualised care and providing sufficient information model of care are needed. There was a need for nurses to be aware of patients’ individualised care needs and to provide them with more information. This study may suggest/urge hospital administrators, policymakers and nurses to be more sensitive with patients’ married status, history of hospitalisation and surgery, the professional title of in charged nurses when care is provided. Ultimately to achieve better outcome of patients’ hospitalisation.

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Section: Discussioncontrasting

confidence: 78%

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

et al. 2020

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“…Compared with those who were ≤35 years, residents who were ≥46 years were 1.33 times more likely to be satisfied with rural BPHSs. The potential explanations include that the attitudes of PHC workers might be better toward the relatively older residents and these residents might have a lower expectation of BPHSs [21]. However, in terms of other characteristic indicators, i.e., gender, education, occupation, monthly income, and health status, there was no significant association between them and overall satisfaction with rural BPHSs.…”

Section: Discussionmentioning

confidence: 93%

“…These results suggest that besides BPHSs' items, rural patients also care a lot about PHC worker attitudes, from which they might feel respect, politeness, etc. [21].…”

Section: Discussionmentioning

confidence: 99%

Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China

Liu

2019

Healthcare

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National basic public health services (BPHSs) are important for promoting the health of rural populations. A better understanding of rural BPHSs from the viewpoint of residents utilizing the services can help health-related departments and primary health care (PHC) centers further improve rural BPHSs. By conducting a large-scale cross-sectional survey in 10 western provinces of China, the study depicts rural resident experiences with rural BPHSs. Of the 9019 participants, 59.33% and 66.48% did not receive services related to health examinations or health education in the six months prior to the survey, respectively. A total of 56.90% were satisfied with the rural BPHSs, and the mean overall satisfaction score was 3.61 ± 0.908 (out of a maximum of 5). The most satisfying domain for rural residents with BPHSs was the attitude of PHC workers, whereas rural residents with chronic diseases were the least satisfied with the health management. Satisfaction with the attitude of PHC workers was identified as the strongest determinant of rural residents’ overall satisfaction with BPHSs. This study could enlighten rural BPHSs management in China.

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“…Some studies reported positive results, while some studies indicated that a negative or no relationship exists between SDM and health outcomes [27]. Because physician services represent a basic concern in medical care, medical expenses still impose a great nancial challenge to patients, and patients are the least satis ed with medical expenses [28]. Treatment outcomes affect patients' health and quality of life; thus, determining whether a high level of SDM speci cally leads to better patient perceptions of physician services, medical expenses and treatment outcomes is warranted.…”

Section: Introductionmentioning

confidence: 99%

Association of shared decision making with inpatient satisfaction: A cross-sectional study

Luo

Li²,

Lu³

et al. 2020

Preprint

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Background: We assessed inpatient perceived shared decision making (SDM) and tested the association of SDM with inpatient satisfaction in public tertiary hospitals in Shanghai, China.Methods: A cross-sectional survey was of 2585 inpatients in 47 public tertiary hospitals in Shanghai in July and August 2018 was conducted. We assessed overall SDM and 4 aspects of SDM and tested the factors influencing SDM and the association of SDM with patient satisfaction (patient satisfaction with physician services, medical expenses, outcomes and overall inpatient care), by adopting linear or two-level regression models.Results: The positive response rate (PRR) and high positive response rate (HPRR) to overall SDM among the inpatients of public tertiary hospitals in Shanghai were relatively high (95.30% and 87.86%, respectively), while the HPRR to “My physician informed me of different treatment alternatives” was relatively low (80.09%). In addition, the inpatients who underwent surgery during admission had higher HPRRs and adjusted HPRRs to overall SDM than those who did not undergo surgery. The study showed that the adjusted high satisfaction rates (HSRs) with physician services, medical expenses, outcomes and overall inpatient care among the inpatients with high level of overall SDM were higher (96.50%, 68.44%, 89.50% and 92.60%) than those among the inpatients without a high level of overall SDM (71.77%, 35.19%, 57.30% and 67.49%). The greatest differences in the adjusted HSRs between the inpatients with and without a high level of SDM were found in inpatient satisfaction with medical expenses and informed consent in SDM. Moreover, 46.22% of the variances in the HSRs with overall inpatient care across the hospitals were attributed to the hospital type (general hospitals vs. specialty hospitals).Conclusions: Inpatient PRRs and HPRRs to SDM in public tertiary hospitals in Shanghai are relatively high overall but lower to information regarding alternatives. SDM can be affected by the SDM preference of both the patients and physicians and medical condition. Patient satisfaction can be improved through better SDM and should be committed at the hospital level.

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Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China

Cited by 39 publications

References 47 publications

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China

Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China

Association of shared decision making with inpatient satisfaction: A cross-sectional study

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